Office of Quality & Risk 101 W. Ponce de Leon, Suite 242 Decatur, GA 30030 Phone: 404-778-7939; Fax 404-778-2755 [email protected]

EMORY RESIDENTS PROFESSIONAL & GENERAL LIABILITY INSURANCE Insurance Company: Clifton Casualty Insurance Company, Ltd. Policy No.: 1-00001-HE-2020

Limits (at least): Professional Liability: $4,000,000 per claim General Liability: $1,000,000 per claim

Policy Type: Claims-Made Policy *Retroactive*

September 1, 2020 to September 1, 2021 Policy Period:

Descriptions: Residents are insured while on rotation at Emory University Hospital, Emory University Hospital Midtown, The Emory Clinic, Emory St. Joseph’s Hospital, Emory Rehab Hospital, Emory Johns Creek Hospital, Emory University Orthopaedics & Spine Hospital, Emory Decatur Hospital, Emory Hillandale Hospital, Emory Long Term Acute Care Hospital, Emory Orthopaedics & Spine Center–Executive Park, Emory Student Health, Emory Clinics at Dunwoody, Emory Clinics at Executive Park, Wesley Woods Center, , Regional, Georgia State University, The Shepherd Center, Talbot Recovery Campus, A.G. Rhodes Nursing Home, Visiting Nurse Health System, Rollins School of Public Health, Fulton County Medical Examiner’s Office, DeKalb Community Service Board, CHRIS 180, Allergy and Asthma Clinic, Laurel Heights Hospital, Ridgeview Institute, Georgia State Counseling and Testing Center, Dermatology Associates of Georgia, LLC., Georgia Department of Human Resources – Division of Public Health, Sandy Springs Fire Department, Metro Atlanta Ambulance Service, and Air Methods-Air Life, Atlanta Plastic Surgery, Emory Aesthetic Center, Budd Terrace Nursing Home, Harbor Grace Hospice, EGL Genetics, LLC, Atlanta Skin Cancer Specialist, Center for Disease Control and Prevention, Lakeview Behavioral Health, Peachtree Psychiatric Professionals, Dekalb Board of Health, Bright Path Programs, Fulton County Board of Health, Carter Center, Salveo Integrative Health, Veritas Collaborative, Emory Proton Therapy Center, Georgia Surgical Center on Peachtree, Village Podiatry Centers, The Foot and Ankle Institute of Georgia, PACT Atlanta, LLC., Georgia Plastic Surgery, P.C., Infectious Disease Specialists of Atlanta, Vascular Medicine & Surgery Specialists, Radiology Associates and Dekalb P.C., Dekalb Anesthesia Associates, P. A., Ankle and Foot Centers of Georgia – the Newman Center for Foot & Ankle Surgery

Conditions: Coverage applies only when residents are acting within the course and scope of their duties as outlined by the Emory University Residency Training Program.

Tail Coverage: This policy also extends coverage for claims made subsequent to resident’s date of departure, arising from an event that occurred during the period of enrollment. This verification is issued as a matter of information only and confers no rights upon the holder. This form does not amend, extend or alter the coverage afforded by the policies listed below. 8/24/2020 8/24/20208/24/2020 Exclusions: Residents rotating through Grady Hospital, VA Hospital or Children’s Healthcare of Atlanta (CHOA) are not covered by this policy. Residents should call these institutions directly for insurance information.

Grady: (404) 616-7747 Veterans Administration: (404) 321-6111 x 7409 CHOA: (404) 785-7207 Important: Requests for individual Verifications of Insurance or Claims History letters should be sent to [email protected]. Appropriate authorization must accompany the request. Contact the Office of Risk and Insurance Services at 404-778-7939 for questions regarding insurance coverage.

This verification is issued as a matter of information only and confers no rights upon the holder. This form does not amend, extend or alter the coverage afforded by the policies listed below. 8/24/2020 8/24/20208/24/2020